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Contact Information

SOUTHEASTERN WI RADIATION
N16W24131 RIVERWOOD DRIVE
WAUKESHA, WI53188
 Phone: 262-696-0696
 Fax: 262-696-0683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN WI RADIATION · (Female)

NPI # 1285601062
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2006
Last updated 01/30/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 32828400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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